Christian Diane Glover

Individual provider Active NPI Clinical Social Worker · Spindale, NC

NPI 1285128264 · NPPES record last updated Jun 21, 2018

Key facts

NPI
1285128264
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
187 W Main St
Spindale, NC 28160-1539
Phone
(828) 447-6279
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional Services (429 clinicians)

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC, NH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180912001999 NC Practitioner - Clinical Social Worker 0547510596 Reassigns benefits to 1 organization
I20240311003485 NH Practitioner - Clinical Social Worker 0547510596 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3131NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services Current
since Feb 26, 2024
Accepting new patients
Solid Foundations Counseling Center Current
since Jun 1, 2021
Accepting new patients
Elliot Professional Services Past Accepting new patients
Solid Foundations Counseling Center Past Accepting new patients

Locations

737 E Main St
Spindale, NC 28160
Phone (704) 466-0162

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

187 W Main St
Spindale, NC 28160-1539

Mailing address

1559 Cane Creek Mountain Rd
Bostic, NC 28018-8629
Phone (828) 447-6279

Other providers in Spindale, NC

All providers in Spindale, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.